Individual provider Active NPI

Melinda C Musselman, RD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1811274681
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2008000191 Issued in MO
Practice address
11511 Cragwold Rd
Saint Louis, MO 63122-7013
Phone
(816) 536-4236
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2008000191 MO Primary

Addresses

Primary practice location

11511 Cragwold Rd
Saint Louis, MO 63122-7013

Mailing address

11511 Cragwold Rd
Saint Louis, MO 63122-7013
Phone (816) 536-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000838 MO Practitioner - Registered Dietitian Or Nutrition Professional 7517134091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11511 Cragwold Rd
Saint Louis, MO 63122-7013
Phone (816) 536-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008000191MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
McMrd, LLC Dietitian, Registered CurrentSince Dec 2, 2021 Accepting new patients
Washington University Past Accepting new patients

Locations

10805 Sunset Office Dr
Ste 300
Saint Louis, MO 63127
Phone (314) 238-1337

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1811274681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CRAGWOLD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227013",
            "telephone_number": "816-536-4236",
            "fax_number": "877-826-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CRAGWOLD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227013",
            "telephone_number": "816-536-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "MELINDA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2008000191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.